Every once in a while I get to take photos of something I have not seen before and yesterday I did. I get all dorkily excited and have to hide it from the patients because it always means there is something wrong with their eye. Anyway, these photos are awesome. Had to share.
Another Dr refers this 87 year old to our Retina Dr for age-related macular degeneration (AMD). I have taken MANY photos and OCT's of AMD and knew it was not AMD.
This is the right eye, 1st week.
Left Eye, 1st week.
After tests the doctor confirms it is a retinal detachment with lots of fluid underneath the retina. Left eye only. Schedules patient to come back in 1 week.
Right eye, 1 week later.
There is so much fluid under the retina it is making folds. This is what I have never seen before. Notice last week it was the left eye that had the problem. Now it is the right eye that is the bigger problem. It also now has a splinter hemmorhage coming off the optic disc.
Left eye, 2nd week. Looks a little better but still has a few retina folds, fluid and choroidal lesions. (Spotty looking background) The weird light discoloration is an image artifact. (Take into account patient is 87 years old and in a wheel chair.)
Same pictures as above, but in black and white. Highlights and contrasts the retinal pigment better. Also, we take them as pre-dye photos.
It is not a typical retinal detachment, since normally they rush off to surgery that night but still serious since the patient has very poor vision.
